K103709 · Curasan AG · LYC · Mar 10, 2011 · Dental
Device Facts
Record ID
K103709
Device Name
CERACELL DENTAL
Applicant
Curasan AG
Product Code
LYC · Dental
Decision Date
Mar 10, 2011
Decision
SESE
Submission Type
Abbreviated
Regulation
21 CFR 872.3930
Device Class
Class 2
Attributes
Therapeutic
Indications for Use
Ceracell® DENTAL is indicated for: - Augmentation or reconstructive treatment of the alveolar ridge - Filling of infrabony periodontal defects - Filling of defects after root resection, apicoectomy, and cystectomy - Filing of extraction sockets to enhance preservation of the alveolar ridge - Elevation of the maxillary sinus floor - Filling of periodontal defects in conjunction with products intended for Guided Tissue Regeneration (GTR) and Guided Bone Regeneration (GBR) - Filling of perio-implant defects in conjunction with products intended for Guided Bone Regeneration (GBR)
Device Story
Ceracell® DENTAL is a synthetic, absorbable, radiopaque bio-ceramic bone grafting material used in dental and maxillofacial surgery. It consists of pure-phase beta-tricalcium phosphate doped with 4% sodium-magnesium-silicate for mechanical stability. The device is provided as polygonal morsels with approximately 80% porosity and grain sizes ranging from 150 to 2,000 µm. It is intended for use by dental professionals to fill, augment, or reconstruct bony defects. The porous structure facilitates rapid bone ingrowth, vascularization, and osseous integration. The material is absorbed over 4 to 12 months depending on the surgical technique. It is supplied in glass vials and sterilized via gamma radiation.
Clinical Evidence
Bench testing only. No clinical data provided.
Technological Characteristics
Synthetic absorbable radiopaque bio-ceramic; pure phase beta-tricalcium phosphate doped with 4% sodium-magnesium-silicate. Open-cell sintered structure with ~80% porosity. Grain sizes: 150-2,000 µm. Form factor: polygonal morsels in glass vials. Sterilization: gamma radiation. Resorption time: 4-12 months.
Indications for Use
Indicated for dental/maxillofacial patients requiring bone augmentation or defect repair, including alveolar ridge reconstruction, infrabony periodontal defects, post-surgical defects (root resection, apicoectomy, cystectomy), extraction socket preservation, maxillary sinus floor elevation, and GTR/GBR-assisted periodontal or perio-implant defect filling.
Regulatory Classification
Identification
Bone grafting material is a material such as hydroxyapatite, tricalcium phosphate, polylactic and polyglycolic acids, or collagen, that is intended to fill, augment, or reconstruct periodontal or bony defects of the oral and maxillofacial region.
Special Controls
*Classification.* (1) Class II (special controls) for bone grafting materials that do not contain a drug that is a therapeutic biologic. The special control is FDA's “Class II Special Controls Guidance Document: Dental Bone Grafting Material Devices.” (See § 872.1(e) for the availability of this guidance document.)(2) Class III (premarket approval) for bone grafting materials that contain a drug that is a therapeutic biologic. Bone grafting materials that contain a drug that is a therapeutic biologic, such as biological response modifiers, require premarket approval.
(c)
*Date premarket approval application (PMA) or notice of product development protocol (PDP) is required.* Devices described in paragraph (b)(2) of this section shall have an approved PMA or a declared completed PDP in effect before being placed in commercial distribution.
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Image /page/0/Picture/0 description: The image contains the logos of the Department of Health and Human Services (HHS) and the Food and Drug Administration (FDA). The HHS logo is on the left, featuring a stylized caduceus symbol. To the right is the FDA logo, with the letters "FDA" in a blue square, followed by the words "U.S. FOOD & DRUG ADMINISTRATION" in blue text.
March 6, 2024
Curasan AG C/O Roger Gray VP Quality And Regulatory Donawa Lifescience Consulting Srl Piazza Albania, 10 Rome, 00153 ITALY
Re: K103709
Trade/Device Name: Ceracell Dental® DENTAL Regulation Number: 21 CFR 872.3930 Regulation Name: Bone grafting material Regulatory Class: Class II Product Code: LYC
Dear Roger Gray:
The Food and Drug Administration (FDA) is sending this letter to notify you of an administrative change related to your previous substantial equivalence (SE) determination letter dated March 10, 2011. Specifically, FDA is updating this SE Letter because FDA has better categorized your device technology under the product code LYC.
Please note that the 510(k) submission was not re-reviewed. For questions regarding this letter please contact Andrew Steen, OHT : Office of Ophthalmic, Anesthesia, Respiratory, ENT and Dental Devices, 301-796-6284, or andrew.steen(a)fda.hhs.gov.
Sincerely,
Andrew I. Steen -S
Andrew I. Steen Assistant Director DHT1B: Division of Dental and ENT Devices OHT1: Office of Ophthalmic, Anesthesia, Respiratory, ENT and Dental Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health
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## DEPARTMENT OF HEALTH & HUMAN SERVICES
Food and Drug Administration 10903 New Hampshire Avenue Document Control Room -WO66-G609 Silver Spring, MD 20993-0002
Curasan AG C/O Mr. Roger Gray VP Quality and Regulatory Donawa Lifescience Consulting Srl Piazza Albania, 10 00153 Rome ITALY
MAR 1 0 2011
Re: K103709
Trade/Device Name: Curasan Ceracell® DENTAL Regulation Number: 21 CFR 872.3930 Regulation Name: Bone Grafting Material Regulatory Class: II Product Codes: LPK and LYC Dated: December 17, 2010 Received: December 20, 2010
Dear Mr. Gray:
We have reviewed your Section 510(k) premarket notification of intent to market the device referenced above and have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices marketed in interstate commerce prior to May 28, 1976, the enactment date of the Medical Device Amendments, or to devices that have been reclassified in accordance with the provisions of the Federal Food, Drug, and Cosmetic Act (Act) that do not require approval of a premarket approval application (PMA). You may, therefore, market the device, subject to the general controls provisions of the Act. The general controls provisions of the Act include requirements for annual registration, listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not misleading.
If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 898. In addition, FDA may publish further announcements concerning your device in the Federal Register.
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## Page 2 – Mr. Gray
Please be advised that FDA's issuance of a substantial equivalence determination does not mean that FDA has made a determination that your device complies with other requirements of the Act or any Federal statutes and regulations administered by other Federal agencies. You must comply with all the Act's requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); medical device reporting (reporting of medical device-related adverse events) (21 CFR 803); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.
If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please go to
http://www.fda.gov/AboutFDA/CentersOffices/CDRH/CDRHOffices/ucm115809.htm for the Center for Devices and Radiological Health's (CDRH's) Office of Compliance. Also, please note the regulation entitled. "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to .
http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/default.htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.
You may obtain other general information on your responsibilities under the Act from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number (800) 638-2041 or (301) 796-7100 or at its Internet address http://www.fda.gov/MedicalDevices/Resourcesfor You/Industry/default.htm.
Sincerely yours,
Anthony D.m
Anthony D. Watson, B.S., M.S., M.S., M.B.A. Director Division of Anesthesiology, General Hospital, Infection Control and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health
Enclosure
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# Appendix A
### Indications for Use Statement
510(k) Number (if known): Not known (K103709
Device Name: Curasan Ceracell® DENTAL
Indications for Use: Ceracell® DENTAL is indicated for:
- Augmentation or reconstructive treatment of the alveolar 0 ridge
- Filling of infrabony periodontal defects .
- Filling of defects after root resection, apicoectomy, and 0 cystectomv
- Filing of extraction sockets to enhance preservation of . the alveolar ridge
- Elevation of the maxillary sinus floor ●
- Filling of periodontal defects in conjunction with products . intended for Guided Tissue Regeneration (GTR) and Guided Bone Regeneration (GBR)
- Filling of perio-implant defects in conjunction with � products intended for Guided Bone Regeneration (GBR)
Prescription Use (Part 21 CFR 801 Subpart D)
AND/OR
ਕ
Over-The-Counter Use (21 CFR 801 Subpart C)
## (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)
### Concurrence of CDRH, Office of Device Eyaluation (ODE)
Susan Cuomo
(Division Sign-Off) Division of Anesthesiology, General Hospital Infection Control, Dental Devices
510(k) Number: K033709
Page 1 of 1 Rev.2 Apr 4. 2008
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# Appendix B
# 510(k) Summary in accordance with 21 CFR 807.92(c)
| Device Name: | Ceracell® DENTAL |
|-------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Type of 510(k) submission: | Abbreviated |
| Manufacturer: | Curasan AG,<br>Frankfurt Facility<br>In Der Schildwacht 13<br>65933Frankfurt<br>Germany |
| FDA Registration Number: | 3004847139 |
| 510(k) Owner: | Curasan AG<br>Lindigstrasse 4<br>63801 Kleinostheim<br>Germany |
| | Phone: +49 (0)60 27 40 900 0<br>Fax: +49 (0)60 27 40 900 29 |
| FDA Registration Number: | 3003771570 |
| 510(k) Submitter and Contact: | Mr Roger Gray<br>VP Quality and Regulatory<br>Donawa Lifescience Consulting<br>Piazza Albania 10<br>00153 Rome<br>Italy<br>Phone: +39 06 578 2665<br>Fax: +30 06 574 3786<br>Email: rgray@donawa.com |
| FDA Product Code: | LYC |
| FDA Regulation Number: FDA | 872.3930 |
| Classification Name: | Dental Bone Grafting Material |
| Common Name: | Tricalcium phosphate bone grafting material |
| FDA Panel: | Dental |
| FDA Classification: | Class II |
| FDA Identification: | Bone grafting material is a material such as hydroxyapatite,<br>tricalcium phosphate, polylactic and polyglycolic acids, or<br>collagen, that is intended to fill, augment, or reconstruct<br>periodontal or bony defects of the oral and maxillofacial region. |
| FDA Guidance Applied: | Class II Special Controls Guidance Document: Dental Bone<br>Grafting Material Devices |
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Indications for Use:
Ceracell® DENTAL is indicated for:
- Augmentation or reconstructive treatment of the alveolar . ridge
- . Filling of infrabony periodontal defects
- . Filling of defects after root resection, apicoectomy, and cystectomy
- . Filing of extraction sockets to enhance preservation of the alveolar ridge
- Elevation of the maxillary sinus floor
- . Filling of periodontal defects in conjunction with products intended for Guided Tissue Regeneration (GTR) and Guided Bone Regeneration (GBR)
- Filling of perio-implant defects in conjunction with products . intended for Guided Bone Regeneration (GBR)
### Technological and Performance Characteristics:
Ceracell® DENTAL is a synthetic absorbable radiopaque bio-ceramic for dental and maxillofacial bone regeneration, using pure phase beta-tricalcium phosphate with an open-cell sintered structure of biocompatible, bioactive organic and osteoconductive material.
Ceracell® DENTAL polygonal 'morsels' have a porosimately 80% and are available in a grain sizes from 150 - 2,000 µm, with the intended use of filling dental and maxillofacial bone defects. This level of porosity allows rapid ingrowth of the bone, and blood components are able to permeate the material, leading to osseous integration and vascularisation.
The material is doped with 4% sodium-magnesium-silicate to provide mechanical stability.
Ceracell® DENTAL morsels are available in a range of morsel sizes and quantities.
The final product is packed in glass vials, fitted with brombuty rubber stoppers, then subjected to a gamma radiation sterilization process before being packed in outer cartons.
Resorption time varies with technique from 4 to 12 months.
Comparison with predicate device:
The predicate device selected for companson with Ceracell® DENTAL is identified as follows:
| Device: | Cerasorb® Dental |
|----------------------|-----------------------------------------------------|
| 510(k) Sponsor: | Curasan AG |
| 510(k) Number: | K051443 |
| Clearance Date: | 3 August 2005 |
| FDA Product Code: | LPK |
| Classification Name: | Tricalcium phosphate granule for dental bone repair |
| Regulation No: | 872.3930 |
The majority of the device characteristics for Ceracell® DENTAL are identical to those of the predicate device. Where they are not identical (device composition, volumetric porosity and phase purity), they are very similar, and these differences have no significant effect on device safety or effectiveness.
#### Conclusion:
Based on the information contained within this submission, it is concluded that Ceracell® DENTAL is substantially equivalent to the predicate device already in interstate commerce within the USA.
Two short videos show you everything — or skip straight to the written tutorial if you'd rather read. You can reopen this any time from the Tutorial button in the top bar.
Part 1 — Search, results, and everyday workflows 16 min
Part 2 — Embeddings: the galaxy map 3 min
1. Search: exact and fuzzy
Type a phrase like "coronary artery calcification" into the search box. You get two kinds of results. Exact results match the literal phrase — prefix searches work ("coronary artery calcificati") but suffix searches do not. Fuzzy results match on the meaning and intent of your phrase rather than the exact words, and are sorted by relevance score. Hover over the Exact or Fuzzy badge on any row to see exactly why it matched.
Use the checkboxes above the results to narrow: SaMD keeps only software-only devices, AI / ML keeps only devices with AI.
Exact vs. fuzzy search: what's the difference?
Exact matches on the literal phrase (prefix search works, suffix does not). Fuzzy matches on the meaning and intent of the phrase rather than the exact words. Hover over the badge on any row to see why it matched.
You search "coronary artery calcification" and want only software devices with AI. What two filters do you apply?
Narrow by SaMD (software-only devices), then narrow by AI/ML (devices with AI).
2. The results table
Scroll right in the results table. The intended use is extracted for you — no need to open the PDF. The device story gives a high-level snapshot of what the device does and how it's used. The AI Performance sub-table shows each output name, acceptance criteria, observed values, and development/test dataset descriptions — the same format Innolitics uses for regulatory strategy outputs, and the fastest high-level fingerprint of an AI device. It is AI-generated but has been very reliable in practice.
Where do you find a device's intended use without opening the PDF?
Scroll right in the search results table. The intended use column is extracted for you; no need to dig into the 510(k) summary PDF.
What does the AI Performance sub-table show, and why is it useful?
Output name, acceptance criteria, observed values, development dataset description, and test dataset description. It's the same format we use for regulatory strategy output and Fast 510(k) input, and the fastest high-level fingerprint of an AI device. AI-generated but reliable in practice.
3. Judging fuzzy relevance
Fuzzy results trail off in relevance as you scroll. Use three signals to decide how far down to go: the fuzzy badge explanations, the intended use column, and whether your target output (e.g., Cobb angle) still appears in the AI Performance sub-table. Once it stops appearing, you're past the relevant zone. A top hit with a low score (~0.4) and a stretched explanation is a hint the closest predicates are far away — the project may be headed for De Novo. Note the fuzzy search is a pattern match: it doesn't handle negation ("not") well, and hardware devices can appear — filter by SaMD/AI ML to cut them.
How do you judge how far down fuzzy search results to go?
Use the relevancy signals: the fuzzy badge explanations, the intended use column, and whether the target output (e.g., Cobb angle) still appears in the AI Performance sub-table. Once it stops appearing, results are trailing off in relevancy.
4. Device detail page: chat and citations
Click a device name to open its detail page: device facts on the left, a chat window on the right. Ask something like "Describe the training data". The answer carries little citation bubbles — click one to jump to the highlighted passage in the source PDF, so you can verify every AI answer against the document. There's also a Download PDF button for sharing.
How do you verify an AI chat answer on the device detail page?
Click the citation bubbles to jump to the relevant highlight in the source document.
Reading rule for every project: how many summaries do you read in full?
At least the three most relevant 510(k) or De Novo summaries, in full. After that, use targeted chat questions to confirm your memory quickly. The tool supports this professional habit — it doesn't replace it.
5. Side-by-side comparison
Select multiple rows in the results table (aim for under ~10), then open the PDF Viewer tab. Ask one question — it goes to all selected devices in parallel, each with citations. This is the fastest way to compare and contrast devices: training data, PCCP scope, how they handled adding new scanners, and so on.
What does the side-by-side PDF viewer mode do?
Select multiple devices, open the PDF viewer tab, and ask one question (e.g., "Describe the training data"). It queries all selected devices simultaneously with citations, so you can compare and contrast quickly.
6. Collections
With rows selected, go to the Collections tab and create a labeled collection (e.g., "Cobb Angle Project"). Reload that selection any time — before a client call, pull up the collection and ask questions across all of its devices at once.
How do you save a set of selected devices for later use?
Select the rows, go to the Collections tab, and create a labeled collection (e.g., "Cobb Angle Project"). You can reload the selection anytime and carry it into the PDF viewer and other tabs that support selections.
7. Product codes and the regulations tree
Click a product code in the results to jump to it in the regulations tree — identification text, sibling product codes, and devices you can open in a PDF viewer on the right. Click a regulation number to see its identification, special controls, and related product codes. You can also search by product code or regulation number at the top of the tree. Always read the special controls if any exist for your device — it broadens your search and sharpens pre-kickoff research.
What can you do from the regulations tree view?
Browse product codes and regulation numbers, read the identification text and special controls, browse sibling product codes, open device PDFs on the right, and search by product code or regulation number at the top of the tree.
8. Chart view
Click Show Chart and segment by regulation number (or product code) to see which regulations dominate your result set. Clicking a regulation takes you into the regulations tree. Great for spotting that most matches are, say, hardware laparoscopic devices — a cue to go back and filter.
How do you see which regulations dominate a search result set?
Click "Show Chart" and segment by Regulation Number. Clicking a regulation takes you to the regulations tree.
9. The predicate graph
Open the Predicates tab for a family-tree view of predicate relationships. Click a node to trace its parents and children; selections from search carry over pre-selected. Commonly predicated devices are worth reading — a lot of people predicated them for a reason. The visual lineage is also handy on client calls, e.g. to show how a predicate family evolved and justify why your predicate still holds.
In the predicate graph, why are commonly predicated devices worth reading?
A lot of people predicated them for a reason. Clicking a node traces parents and children, and selections from search carry over pre-selected.
10. Embeddings: the galaxy map
The Embeddings tab plots every matching document in a 2-D "galaxy map" where semantically similar devices cluster together. Hover or click clusters to explore, and let AI label the clusters for you. Embeddings beat product codes for grouping: two devices can carry different product codes (LLZ vs. QIH) yet do the same thing — the embedding captures the meaning of the intended use and device story. This is also exactly how retrieval-augmented generation (RAG) works under the hood, and it makes a great visual on client calls.
Try it yourself
Head to the search page and work through a few of these AI/ML fuzzy searches to build intuition: perivascular fat on CT · aortic valve calcification opportunistic screening on noncontrast CT · breast cancer prediction on digital pathology slides · autism detection · gestational age prediction · a hearing aid that can also detect a pulse · foundation model based analysis of ECG · large language models · penetration test. Watch how the relevance scores, intended use, and AI Performance tables tell you when results stop being meaningful.